医疗错误发生的频率和影响因素:为期三年的横截面研究
Negar Aghighi1, Aidin Aryankhesal1, Pouran Raeissi1
1Department of Health Services Management, School of Health Management and Information Sciences, Iran University of Medical Sciences, Tehran, Iran.
尽管采取了安全措施,但医疗错误仍然存在. 分析报告的6584个错误显示管理和治疗程序是关键领域,错误的医生订单文件是主要因素. 解决根本原因对于患者安全至关重要.
科学领域:
- 医疗保健的质量和安全
- 医疗错误分析 医学错误分析
- 卫生系统研究 卫生系统研究
背景情况:
- 医疗错误 (ME) 仍然是患者安全的一个持续挑战.
- 有效利用报告的ME对于防止其复发至关重要.
- 本研究研究了三年来报告的错误和有助于错误的因素.
研究的目的:
- 为了调查在三年内报告的医疗错误.
- 识别和分析导致医疗错误的因素.
- 为改善患者安全和减少错误的复发提供见解.
主要方法:
- 进行了一项描述性分析研究.
- 数据包括20家医院报告的6584个错误 (2018-2020年).
- 一个专家小组调查了所有报告的错误.
主要成果:
- 错误被分为四种主要类型,其中管理和治疗程序是最常见的.
- 15个因素被确定为影响医疗错误的因素,其中9个因素的趋势越来越强.
- 错误的医生订单文件 (16.03%) 和不遵守患者识别 (15.47%) 是最常见的错误.
结论:
- 对护理Kardex的不正确的医生处方注册是最重要的因素.
- 应该考虑计算机化医生订单输入系统来减轻错误.
- 防止医疗错误需要识别根本原因,并坚定地承诺在所有卫生系统层面遵守安全协议.
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